ATTACHMENT_01_813 SURPLUS MATERIAL WORKSHEET.pdf

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DATE

SURPLUS MATERIEL WORKSHEET

REQUEST FOR EVALUATION

I.

NSN

PART NUMBER

CAGE

APPLICATION

IMS

OFFICE SYMBOL

PHONE

SURPLUS MATERIEL MAY BE AVAILABLE TO FULFILL THE GOVERNMENT'S NEEDS FOR THIS ITEM. AS A RESULT, AN EVALUATION MUST BE PERFORMED IAW AFMC FAR SUPPLEMENT PART 5352.

THE EVALUATION ON THIS ITEM INDICATES SURPLUS MATERIAL WILL BE CONSIDERED IN THE FOLLOWING TYPES/CATEGORIES EVALUATION CRITERIA (For types/categories deemed acceptable)

II.

P/N AND MFG VERIFI- CATION

PRIOR GOV'T OWNER- SHIP

TEST AND VERIFI- CATION

VERIFI- ABLE DIMEN- SIONS

LOCATION INSPEC- TION TESTING

INITIAL ACCEPT- ABILITY ITEMS

OVERHAUL

AND

CERTIFI-

CATION

ACCEPT- ABLE (Y/N)

100% END ITEM INSPECT

OTHER (Explain in Remarks)

NEW/UNUSED

S U G R

NEW/RECONDITIONED

O P V L

NEW/MODIFIED

T U S

USED/OVERHAULED

NEW/UNUSED

S C U R O

NEW/RECONDITIONED

P M L M

NEW/MODIFIED

U L S

USED/OVERHAULED

SURPLUS EVALUATION CRITERIA (If Section 11a. indicates surplus materiel may be considered). (Fill in blanks as appropriate)

PART NUMBER VERIFICATION (AFMCFARS 5352.211-9011) MFG

P/N

PRIOR GOVERNMENT OWNERSHIP (AFMCFARS 5352.211-9015)

100% END ITEM INSPECTION (AFMCFARS 5352.211-9017)

TEST AND VERIFICATION (AFMCFARS 5352.211-9013) TECH ORDER NUMBER

DRAWING NUMBER

VERIFIABLE DIMENSION (AFMCFARS 5352.211-9012)

DESIGN ACTIVITY

LOCATION OF INSPECTION TESTING (AFMCFARS 5352.211-9015)

INITIAL ACCEPTABILITY ITEMS (AFMCFARS 5352.211-9014) A QUANTITY OF

ITEMS WILL BE TESTED FOR INITIAL ACCEPTANCE.

TEST WILL BE CONDUCTED USING THE FOLLOWING CRITERIA (and location of testing)

OVERHAUL AND CERTIFICATION (AFMCFARS 5352.211-9010)

OTHER SPECIAL REQUIREMENTS (Explain)

REMARKS

JUSTIFICATION FOR UNACCEPTABLE SURPLUS MATERIEL

SIGNATURE

EVALUATOR

OFFICE SYMBOL

PHONE

DATE

AFMC FORM 813, 20000323

(IMT -V1)

PREVIOUS EDITION IS OBSOLETE

INSTRUCTIONS

This worksheet will be used to evaluate all categories of surplus materiel. Condition categories, inspection clauses and the section level signature are included in the worksheet.

Key points to remember when processing the AFMC Form 813.

A. All surplus materiel types/conditions must be evaluated.

B. Determination must be based upon technical characteristics of the item.

C. The ES will determine acceptability of surplus materiel types/conditions.

D. The engineer will review the determination.

TYPES OF SURPLUS MATERIEL (AFMCFARS 5352.211)

COMMERCIAL SURPLUS MATERIEL means commercial off-the-shelf items manufactured for either commercial or government use which have never been sold to or accepted by the Government and are not considered to be "new manufactured materiel".

GOVERNMENT SURPLUS MATERIEL means materiel which was purchased and accepted by the government and subsequently sold at disposal.

NEW MANUFACTURED MATERIEL means materiel manufactured by a qualified manufacturer which has a government approved quality system which meets the materiel shall be considered new manufactured materiel so long as it is held by the actual manufacturer, the system OEM or subsidiary, successor, or distributor.

SURPLUS MATERIEL CONDITION CATEGORIES (AFMCFARS 5352.211)

NEW AND UNUSED means materiel not having been previously installed and not showing evidence of deterioration, evidence of disassembly or reassembly, nor any evidence of reconditioning in any manner.

NEW AND RECONDITIONED means materiel not having been previously installed and not showing evidence of deterioration. Material may be reconditioned to the extend that gaskets, seals, O-rings or other cure dated items are replaced. Materiel offered may have already been reconditioned or require reconditioning prior to usage.

NEW AND MODIFIED means materiel not having been previously installed and not showing deterioration.

Components may be replaced for the purpose of configuration update and/or modification. Materiel offered may have already been modified or require modification prior to usage.

USED AND OVERHAULED means materiel which has been previously installed in operational equipment but has been or can be completely overhauled, repaired, reconditioned, or modified to serviceable statue.

AFMC FORM 813, 20000323 (Reverse) 8.2.1.3158.1.475346.466429

1. Material that has been modified into a different configuration will not be approved.

2. Material must meet definitions of all conditions listed and must have visual verification of part number.

3. Unit Price must be inclusive of all re-conditioning. Inspection and verification of material will be performed by DCMA at the contractor facility, and involve DCMA standard